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Nov 5, 2013
11/13
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, the three most important fishes the next election will be medicare, medicare and medicare. >> rose: well, explain that. you obviously know politics. explain to me why that is true. >> well, medicare is -- >> rose: not that they like it but they like it because it delivers for them? >> it delivers for them, everybody wants finish if the that affects them to be better. >> rose: exactly. >> but the fact is this is a central pillar for families, because .. some pa families of middle age are sandwiched between the needs of their children or helping their parents if they should need help or get again a diagnosis, so without medicare families are greatly at risk. >> rose: would you, are you prepared to say this? you desperately, not desperately you have had a wonderful life in many way, a great family, great political career, speaker of the house. >> grandmother. >> rose: grandmother, everything and you are a very happy person. >> i am. >> and so would you be perfectly happy if, in fact, the chance you have to serve as speaker, the third most powerful position in the u.s. government, third
, the three most important fishes the next election will be medicare, medicare and medicare. >> rose: well, explain that. you obviously know politics. explain to me why that is true. >> well, medicare is -- >> rose: not that they like it but they like it because it delivers for them? >> it delivers for them, everybody wants finish if the that affects them to be better. >> rose: exactly. >> but the fact is this is a central pillar for families, because .. some...
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Nov 25, 2013
11/13
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this is part of the biggest change since medicare. and it's not just bigger because it's changing the health care system for everyone so that in the future years, even those people that this year, might see a price bump are going to be in a new health insurance world where they can never be turned down again. they can never be -- go ahead. >> the decision -- >> they leads me to belief you're not real thrilled with where things are? >> we're not thrilled. the affordable care act is a good law to provide huge changes in health insurance system but for some people, people that make more than 400% of poverty so if you're like a 60-year-old that makes $60,000, you don't get federal health to lower the cost of your health insurance. health insurance can still be expensive and i think this is one of the things that congress should look at. how tim prove the law to everyone has health care that's affordable. this was a piece that there were not great only options force us. californians that are losing old policies get the less new policy for
this is part of the biggest change since medicare. and it's not just bigger because it's changing the health care system for everyone so that in the future years, even those people that this year, might see a price bump are going to be in a new health insurance world where they can never be turned down again. they can never be -- go ahead. >> the decision -- >> they leads me to belief you're not real thrilled with where things are? >> we're not thrilled. the affordable care...
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Nov 8, 2013
11/13
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the way to do it is shrink the deal small to make the entitlements not about social security and medicare, the hut buttons but subsidies where you can get bipartisan agreement and make the revenue increases very small, not general tax increases but some sort of user fees on specific sets of consumers of government services and that's where we are right now, and we've got to see if we can get some sort of agreement to avoid a shutdown. nancy pelosi wants to get it done by thanksgiving. the formal deadline that we've got for this round of budget talks is mid december but of course, there is nothing binds that occurs on that date. the real issue is going to be in january and february when government spending runs out and we got to raise the debt limit again, we'll find out whether we're headed for the other shutdown that cost us jobs and government money. >> thank you very much. john harwood reporting. >>> for several years chance fats are disappearing from grocery isles and restaurant menus. now the food and drug administration will finish the job. the fda announced it will require the food
the way to do it is shrink the deal small to make the entitlements not about social security and medicare, the hut buttons but subsidies where you can get bipartisan agreement and make the revenue increases very small, not general tax increases but some sort of user fees on specific sets of consumers of government services and that's where we are right now, and we've got to see if we can get some sort of agreement to avoid a shutdown. nancy pelosi wants to get it done by thanksgiving. the...
SFGTV: San Francisco Government Television
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Nov 15, 2013
11/13
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and medicare. what is long-term care integration? what does that phrase mean? it means the integration of primary and acute care services with long-term services and supports as well as institutional care. so we're talking about bringing the medical model together with the social services model, and they will both be provided by managed care health plans to this population, the dual eligibles, those who are eligible for med ical and medicare so an older population as well as a population with disabilities as well as populations who are older so it's a mix. this plan was prepared because california has instituted a coordinated care initiative. in january of 2012 governor jerry brown introduced the coordinated care initiative. its purpose across the state of california is to improve coordinate and coordination of service delivery for consumer satisfaction of the groups i mentioned and at the same time substantial savings so they want to shift where services are provided. i should tell you that the co
and medicare. what is long-term care integration? what does that phrase mean? it means the integration of primary and acute care services with long-term services and supports as well as institutional care. so we're talking about bringing the medical model together with the social services model, and they will both be provided by managed care health plans to this population, the dual eligibles, those who are eligible for med ical and medicare so an older population as well as a population with...
SFGTV: San Francisco Government Television
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Nov 10, 2013
11/13
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SFGTV
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i want to go back to the point you made about medicaid and medicare. all hospitals have that same issue but they don't have all the same share. you can have pockets in your city where there's vulnerable populations or elderly population where the hospital has a share of the care and that is the overall expenses. >> what i really worry about is that people have the lower cost or the lower share of the med-cal patients and still charging the highest prices to consumers. that's being taken advantage of that i worry about from a public policy perspective. i believe it's a great thing and we shouldn't hide from real facts and i appreciate what you're saying, but let us take that into account as a city, as a government that those hospitals that are providing higher charity levels, we understand why that happens and we need that in our city, but that doesn't mean we don't want to see what's being charged in terms of prices for consumers. >> in addition to medicaid and med-cal offices, many of them have teachings like you see with san francisco general, they w
i want to go back to the point you made about medicaid and medicare. all hospitals have that same issue but they don't have all the same share. you can have pockets in your city where there's vulnerable populations or elderly population where the hospital has a share of the care and that is the overall expenses. >> what i really worry about is that people have the lower cost or the lower share of the med-cal patients and still charging the highest prices to consumers. that's being taken...
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Nov 15, 2013
11/13
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warriorsrsrsrs [ male announcer ] eligible for medicare? that's a good thing, but it doesn't cover everything. only about 80% of your part b medical expenses. the rest is up to you. so consider an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, they could save you in out-of-pocket medical costs. call today to request a free decision guide. with these types of plans, you'll be able to visit any doctor or hospital that accepts medicare patients... plus, there are no networks, and virtually no referrals needed. join the millions who have already enrolled in the only medicare supplement insurance plans endorsed by aarp... and provided by unitedhealthcare insurance company, which has over 30 years of experience behind it. with all the good years ahead, look for the experience and commitment to go the distance with you. call now to request your free decision guide. o0 c1 a dress warmly in the morning. temperatures throw 30's, 40's mike is here 4:30
warriorsrsrsrs [ male announcer ] eligible for medicare? that's a good thing, but it doesn't cover everything. only about 80% of your part b medical expenses. the rest is up to you. so consider an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, they could save you in out-of-pocket medical costs. call today to request a free decision guide. with these types of plans, you'll be able to visit any...
SFGTV: San Francisco Government Television
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Nov 19, 2013
11/13
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SFGTV
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the numbers of people we're talking about in san francisco the dual eligible medicare dual eligible means medicare and medical over 10 thousand people the same population 65 and up so we're talking almost 45,000 people this is a lot of people who are going to be served through these managed care programs. primary and acute care and long-term services and supports so that's a lot of background. that's why this plan is prepared the coordinated care initiative was introduced in 2012, 8 counties getting started in 2014 it's coming to san francisco in 2016 and it's part of the affordable care act at the federal level so that's all background. what is san francisco doing to prepare for this? the department of aging and adult services in collaboration with the long-term care coordinating counsel created the long-term care integration design group and that includes dos, department of public health, the human services agency the 3 health plans i mentioned, and a number of key community service providers. i should say although he can not be here today i wish he was -- but could not make it herb lev
the numbers of people we're talking about in san francisco the dual eligible medicare dual eligible means medicare and medical over 10 thousand people the same population 65 and up so we're talking almost 45,000 people this is a lot of people who are going to be served through these managed care programs. primary and acute care and long-term services and supports so that's a lot of background. that's why this plan is prepared the coordinated care initiative was introduced in 2012, 8 counties...
SFGTV: San Francisco Government Television
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Nov 6, 2013
11/13
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20 times what medicare reimburses for the same procedure. this initial analysis also raises questions about how hospitals determine prices and why they vary. the first look at this data reveals there's wide variations around hospitals and here in san francisco. as now also a member of the health service board and as one of the supervisors involved in the snc negotiations, i realized how crucial health care is important. the second item is a resolution to pass legislation to establish full transparency. consumers and employees are asked to pay more and more in premiums and costs. price transparency in the health care market is essential to bring price down. recently the lack of transparency in health karin creases for public employees jeopardizes health care for workers. it's hard to improve rates and we as a board owes to our resident to have more into health care cost so we begin to move toward competitive pricing that benefits all of our resident. we have a line up of speaker for today's hearing and i want to thank those in attendance and
20 times what medicare reimburses for the same procedure. this initial analysis also raises questions about how hospitals determine prices and why they vary. the first look at this data reveals there's wide variations around hospitals and here in san francisco. as now also a member of the health service board and as one of the supervisors involved in the snc negotiations, i realized how crucial health care is important. the second item is a resolution to pass legislation to establish full...
SFGTV: San Francisco Government Television
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Nov 7, 2013
11/13
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medicare pays more. for whatever reason, cost per day is higher in san francisco under the medicare program. if you look at commercial payers, they pay much more in san francisco than los angeles. well, one the main reasons is los angeles is a much more competitive market. within 30 miles of usc, there's 70 different hospitals and there's not so much systems so the plans can negotiate to keep prices down. they can pick this hospital and that hospital. they're not forced to take and some markets they are , and that's why prices have gone up. at the bottom you can see this kind of summary measure is in san francisco, commercial plans pay 240 percent of medicare and in los angeles it's close to 200 percent. and that points to the differences in regional competitive structure. can what be done? policies to provide a market. some of these were talked about your earlier speaker. we need to go through and i think we're going to need regulations to restore structural competition and this is just some of the thin
medicare pays more. for whatever reason, cost per day is higher in san francisco under the medicare program. if you look at commercial payers, they pay much more in san francisco than los angeles. well, one the main reasons is los angeles is a much more competitive market. within 30 miles of usc, there's 70 different hospitals and there's not so much systems so the plans can negotiate to keep prices down. they can pick this hospital and that hospital. they're not forced to take and some markets...
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Nov 12, 2013
11/13
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people that could get health insurance but may not have the chronic illnesses that somebody in the medicare age grew do. so just because they'll have insurance doesn't mean they'll need that care. >> sinclaire says she opposes the premise. >> i have to try to find a job to pay off my student loan debt but also pay exorbitant amount for new health care premiums and that's for the young people because they're 9 ones covering everyone else. what happens, this is what supporters talk about, you across the university avenue and you get hit by a car and you break your leg. what then? >> what i have to do is suffer the consequences because i made that choice as an individual to go uninsured and deal with the expense and if i have to into debt after college i have to. that's my individual responsibility. >> 1986 law requires hospitals to provide care to anyone needing emergency healthcare treatment regardless of ability to pay. the new affordable care act is designed to reduce that most expensive kind of treatment by incentivizing primary and preventive care. because emergency room bills add up fas
people that could get health insurance but may not have the chronic illnesses that somebody in the medicare age grew do. so just because they'll have insurance doesn't mean they'll need that care. >> sinclaire says she opposes the premise. >> i have to try to find a job to pay off my student loan debt but also pay exorbitant amount for new health care premiums and that's for the young people because they're 9 ones covering everyone else. what happens, this is what supporters talk...
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Nov 4, 2013
11/13
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for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete and we will see what happens, so that is how i sort of settled at the conundrum in my own head. i think it would be a good thing to do. >> how do you feel your book will affect the medical world like everywhere across the world now? >> well, there is a whole percolating thing happening and it's not just in medicine because one of the things about my book is it's not just about medicine that people recognize it is about style. whether we are teachers or lawyers or how we live and what is a value to us. you don't need very much to be happy and once
for what it costs the government to supply medicare. what are the costs of government to supply medicare if you take the medicaid budget and divided by the number of people it is about $802 a month. that is a huge amount of money. if we put medicare on the exchanges and let people buy into it we could give people the same subsidy. it's sort of already set up to do that, and that would be a way of letting the private insurance companies who believe that the government is an efficient to compete...
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Nov 5, 2013
11/13
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> compra obamacare >> ante la duda de estas personas de la tercera edad: >> las personas que tienen medicare no tienen que hacer nada respecto a obamacare >> la confusión estriba en 2 fechas que se están manejando. la del 31 de marzo fecha límite para inscribirse en obamacare, 7 de diciembre, fecha límite para hacer cambios en medicare >> hay cambios en medical que estaba limitado a ciertos niveles de ingresos >> a personas que tienen ingresos un poco más altos, personas que pasen limites van a poder calificar con ayuda federale >> no se dejen engañar por personas que por teléfono quieren confundirles medicare con obamacare >> y a la lista de problemas del sitio para inscribirse a obamacare, se suman otros inconvenientes, la alternativa de inscribirse por teléfono también puede ser difícil, si el portal no funciona los representantes tampoco pueden iniciar o terminar teléfono >> de todos modos uno puede llenar una aplicación en papel. si uno no desea hacerlo puede ir al centro comunitario >> autoridades piden a la comunidad que no se desespere >> en california si quiere inscribir
> compra obamacare >> ante la duda de estas personas de la tercera edad: >> las personas que tienen medicare no tienen que hacer nada respecto a obamacare >> la confusión estriba en 2 fechas que se están manejando. la del 31 de marzo fecha límite para inscribirse en obamacare, 7 de diciembre, fecha límite para hacer cambios en medicare >> hay cambios en medical que estaba limitado a ciertos niveles de ingresos >> a personas que tienen ingresos un poco más...
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like all standardized medicare supplement insurance plans, it helps pick up some of what medicare doesn't pay. and could save you in out-of-pocket medical costs. to me, relationships matter. i've been with my doctor for 12 years. now i know i'll be able to stick with him. [ male announcer ] with these types of plans, you'll be able to visit any doctor or hospital that accepts medicare patients. plus, there are no networks, and virtually no referrals needed. so don't wait. call now and request this free decision guide to help you better understand medicare... and which aarp medicare supplement plan might be best for you. there's a wide range to choose from.
like all standardized medicare supplement insurance plans, it helps pick up some of what medicare doesn't pay. and could save you in out-of-pocket medical costs. to me, relationships matter. i've been with my doctor for 12 years. now i know i'll be able to stick with him. [ male announcer ] with these types of plans, you'll be able to visit any doctor or hospital that accepts medicare patients. plus, there are no networks, and virtually no referrals needed. so don't wait. call now and request...
SFGTV: San Francisco Government Television
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Nov 5, 2013
11/13
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SFGTV
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and there is also plans under way dually eligible people with medical and medicare. and also, this partial medical under california undertook as part of the 1115 waiver called the programs and passed here in san francisco we did learn that they were not opt mal, and we think that 60 percent of the folks will be medical eligible and the rest minus obviously the folks who will remain uneligible will be eligible for the qualified health plans through coverage california. and the transition is less mandatory and is strongly encouraged and something that we are working towards. and again, for the less beneficiaries and in the past we will be moving into the medical expansion and some other counties that we see them moving into coverage california as well. and then there is the piece that programs that was a temporary program that is ending so she will also be facing transitions and the mission of the task force that formed nearly a year ago to develop a set of recommendations. and our goal and preparing the community based hiv providers for the changes that are coming to
and there is also plans under way dually eligible people with medical and medicare. and also, this partial medical under california undertook as part of the 1115 waiver called the programs and passed here in san francisco we did learn that they were not opt mal, and we think that 60 percent of the folks will be medical eligible and the rest minus obviously the folks who will remain uneligible will be eligible for the qualified health plans through coverage california. and the transition is less...
SFGTV2: San Francisco Government Television
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Nov 16, 2013
11/13
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SFGTV2
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one is move the pool with medicare retirees. the second would be to close the active city plan to all employees other than those outside the kaiser and blue shield service areas such as the heche but very small. third we ask and investigate the policies to make the changes to the active plan to draw more people into it to make the plan affordable again. howevercious that does have a down side that it might cause increase rate in population which is a higher volume than the uhc plan. what i want to say these are the consideration we have and they can all concur as individuals or in groups of two or three of the options if you want. so with that, i would entertain any questions that you may have. >> mr. scott? >> i wanted to go back to your slide 26. you identified for early retirees with diabetes is kind of a therapy that is impacting cost. are you seeing a similar trend around the things around cardiovascular disease related issues? >> when i looked at the top drugs i did not see a repeat, you have the stat ins but because of di
one is move the pool with medicare retirees. the second would be to close the active city plan to all employees other than those outside the kaiser and blue shield service areas such as the heche but very small. third we ask and investigate the policies to make the changes to the active plan to draw more people into it to make the plan affordable again. howevercious that does have a down side that it might cause increase rate in population which is a higher volume than the uhc plan. what i want...
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Nov 4, 2013
11/13
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bush's medicare act. president obama plans to make a stop in the pay area this month. he will visit san francisco for a national committee fundraiser. this will mark the fourth time this year that president obama visited the bay area and the 15th time he visited san francisco since taking office in 2009. still ahead, freeze tag is a popular playground game, but some parents are upset after the schools made it a policy that the kids freeze at resense. some of the bay areas brightest mind competed to make fuel efficient vehicles. >> at this time last night we were talking about very strong i love watching tv outside. and why can you move the tv out here? the wireless receiver. i got that when i switched to u-verse. but why? because it's so much better than cable. it's got more hd channels, more dvr space. yeah, but i mean, how did you know? i researched. no, i-i told you. no. yeah! no. the important part is that you're happy now. and i got you this visor. you made a visor! yes! that i'll never wear. ohh. [ male announcer ] get u-verse tv for just $19 a month for two year
bush's medicare act. president obama plans to make a stop in the pay area this month. he will visit san francisco for a national committee fundraiser. this will mark the fourth time this year that president obama visited the bay area and the 15th time he visited san francisco since taking office in 2009. still ahead, freeze tag is a popular playground game, but some parents are upset after the schools made it a policy that the kids freeze at resense. some of the bay areas brightest mind...
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remember, medicare supplement insurance helps cover some of what medicare doesn't pay. expenses that could really add up. these kinds of plans could save you in out-of-pocket medical costs. you'll be able to choose any doctor who accepts medicare patients. and there are virtually no referrals needed. so don't wait. with all the good years ahead, look for the experience and commitment to go the distance with you. call now to request your free decision guide. this easy-to-understand guide will answer some of your questions and help you find the aarp medicare supplement plan that's right for you. ♪ liz: gearing up for what could be one of the biggest ipos of the years. that's next week. many of these names have done so well. charlie gasparino here with now what analysts as saying. >> reporter: this ipo market would have dried up, but it is not. what you have there is the highest number ipo since 2007, year today. and the markets are bracing for a flood of ipos, but i will tell you this, the bankers might be full of it in that time to tell you stuff is oversubscribed and
remember, medicare supplement insurance helps cover some of what medicare doesn't pay. expenses that could really add up. these kinds of plans could save you in out-of-pocket medical costs. you'll be able to choose any doctor who accepts medicare patients. and there are virtually no referrals needed. so don't wait. with all the good years ahead, look for the experience and commitment to go the distance with you. call now to request your free decision guide. this easy-to-understand guide will...
SFGTV: San Francisco Government Television
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Nov 29, 2013
11/13
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SFGTV
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it is not covered under medical or medicare to some degree it is if the providers want to work with them but it's still not enough to be able to allow or grant enough access so that's an issue i think can be explored more as far as the vendors their availability to have it covered through medical and also working to see about trying to diversify to make it more accessible. second in the picture in the middle i have a picture of one of our co-workers peter mendoza who's using his electric power chair but more importantly he has a setup of 2 smart tablets being held up in front of him by a coil type of clamp. hey peter, thank you. [laughter]. >> for those who are here peter is approaching and he's showing off his setup system. by having these thin but sturdy clamps he's able to access his smart devices really important for getting around the city when at work for checking e-mails basically being able to increase his capacity to work and access the community. thank you peter. lastly on the right i have a picture of a hurricane -- spelled hurrycane that is able to it's a multifooted folding
it is not covered under medical or medicare to some degree it is if the providers want to work with them but it's still not enough to be able to allow or grant enough access so that's an issue i think can be explored more as far as the vendors their availability to have it covered through medical and also working to see about trying to diversify to make it more accessible. second in the picture in the middle i have a picture of one of our co-workers peter mendoza who's using his electric power...